The Care Quality Commission
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Archived: Kelsall Medical Centre

Overall: Good read more about inspection ratings

Church Street, Kelsall, Tarporley, Cheshire, CW6 0QG (01829) 751252

Provided and run by:
Dr Kylie Jean Daniels

Important: The provider of this service changed - see old profile
Important: The provider of this service changed. See new profile

All Inspections

7 June 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kelsall Medical Centre on 7 June 2017.

Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There were systems in place to reduce risks to patient safety, for example, equipment and premises checks were carried out and there were systems to prevent the spread of infection.
  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff felt supported and they had access to training and development opportunities appropriate to their roles.
  • Patients said they were treated with compassion, dignity and respect. We saw staff treated patients with kindness and respect.
  • Services were planned and delivered to take into account the needs of different patient groups.
  • There was a system in place to manage complaints.
  • There were systems in place to monitor and improve quality and identify risk.

The areas where the provider should make improvements are:

  • The system for reviewing medication should be reviewed to ensure it is more robust.

  • Make a record of the in-house checks of cleaning standards.
  • Ensure staff recruitment records contain evidence of information having been gathered about any physical or mental conditions which were relevant (after reasonable adjustments) to the role the person was being employed to undertake.
  • Develop a system to ensure all the required recruitment and training information is available for locum GPs.

  • A planned programme of audits should be put in place.

  • The salaried GPs should have an in-house appraisal in addition to the external appraisal process.
  • Provide a more comprehensive record of the induction provided to staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice